IPACHTE# Harnett County Department of Public Health 29657
Improvement Permit
A building permit cannot be issued with only an ImvemenPermit
PROPERTY LOCATION: Q � roPetAa"E S 6aQ.1 L'
ISSUED TO: _ PfA.CG1S10 M C' -'5S o MF -5 SUBDIVISION 5 V mm GCLLN N LOT #
NEW REPAIR ❑ EXPANSW(t ❑
Type of Structure: 35 tycjSite Improvements required prior to Construction Authorization Issuance:
S F'fl �.�� xs�r
Proposed Wastewater System Type: �S°/o puCrs kOty 7STEtvN
Projected Daily Flow: "10 GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes XNo
Pump Required: []Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )X Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Rla\1 Date: T SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees 'c6uanre of other pertain. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use changes. The rovement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be meL Systems shall be installed in accordance
with the attached system layout
ISSUED T0: 9o.6TX CUyS-n'Agr+65 PROPERTY LOCATION: Gq Nq Cc iaE RPA\ L
SUBDIVISION 5u<nMys2t\N LOT # ei1O
Facility Type: 5li-o (iSIYn30 New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"* --)L55O1e SSE 'JC;Ss le a S yS )lz-� (Initial) Wastewater Flow: 410 GPD
(See note below, if applicable ❑)
Pu en2--70 1 /. REO (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size d gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: X14 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDM vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
"If applicable, / omieatand the system type specfled is different from the type rpeciped on the application. / accept the specifcationr of this permit.
Representative
use chances. The
Date:
not be transferred when there is a
Construction Authorization ajutiLect to comp wi ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent PENS Date: 6
Con ruction Authorization Expiration Date: 4C
SEE ATFACHED SITE SKETCH
HTE# 'S-i-ll6`A-
Permit # a9 6S-�
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: (�lq� APP Ck+E. Tr�N"
ISSUED TO: �cLC� G1s�ot� \�QftN6,5 SUBDIVISION 0 LOT # 'ZI0
Authorized State ADate: 6, a3I11
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T
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Rb
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Department of Environ ncei, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Appli ent: I 1
Address: Date Evaluated:
Proposed Facility: `--.:
; Design Flow(.1949: !_
Location of Site:
Property Recorded: -
Water Supply.
[I -Publico Individual ❑ Well
Evaluation Method:❑
Auger Boring ❑ Pit ❑ Cut
Type of Wastewater:
❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.19W
landscape
slope N
slope Ye
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
.1941 .1941
Structure/ Consistence
Ta` Mvm
.1942
Soil
Wetness/
Color
OTHM
-MOFRE FACTORS
.1943 .1956 .194-4 Profile
Soil sap- Renu Class
th Class Horiz & LTAR
Description initialR v System Other FaGors (.1946):
System Site Classification (.1948):
Available S .1945 Evaluated By:
S em T s mar• , 2=S i p Others Present:
Site LTAR
, 1 EC It0005Tr'